Attachment 2 - CRF Integrity Monitor Report Template.1603299700111~2.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Contract GSA NJ|26-PROS1-117634
Contract number
26-PROS1-117634
Issued by
New Jersey

About this file

This document is an Integrity Monitor Report Template designed for tracking and reporting on federal recovery program contracts, specifically for monitoring funds distributed under programs like the CARES Act. The template provides a comprehensive framework for documenting and assessing various aspects of a recovery program's financial accountability, including general information about the recipient, funding sources, award details, and key administrative contacts.

The template is structured to capture detailed quarterly monitoring activities, focusing on procurement compliance, expenditure tracking, and efforts to prevent waste, fraud, and abuse. It requires documentation of project status, payment reviews, auditing activities, and any identified integrity issues. The report template mandates reporting on specific elements such as total award amount, amount expended, funds distributed to other entities, contract completion status, and a detailed accounting of monitoring activities conducted during the reporting period. The document serves as a standardized tool for ensuring transparency and proper oversight of federal and state recovery program funds.

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Text version

Table 1

No.Recipient Data ElementsResponseComments
A. General Info
1.Recovery Program Participant
2.Federal Funding Agency (e.g., Section 5001 of CARES Act)
3.State Funding (if applicable)
4.Award Type
5.Award Amount
6.Accountability Officer
7.Brief Description, Purpose and Rationale of Integrity Monitor Project/Program
8.Contract/Program Location (if applicable)
9.Amount Expended by Recovery Program Participant to Date
10.Amount Provided to other State or Local Entities
11.Completion Status of Contract or Program
12.Expected Contract End Date/Time Period
B.Monitoring Activities
13.If FEMA funded, brief description of the status of the project worksheet

and its support.

No.Recipient Data ElementsResponseComments
14.Quarterly Activities/Project Description (include with specificity activities conducted, such as meetings, document review, staff training, etc)
15.Brief description to confirm appropriate data/information has been

provided by recipient and what activities have been taken to review in relation to the project/contract/program.

16.Description of quarterly auditing activities that have been conducted to ensure procurement compliance with terms and conditions of the contracts and agreements.
17.Has payment documentation in connection with the contract/program been reviewed? Please describe
18.Description of quarterly activity to prevent and detect waste, fraud and abuse.
19.Provide details of any integrity issues/findings
20.Provide details on any other items of note that have occurred in the past

quarter

21. Provide details of any actions taken to remediate waste, fraud and abuse noted in past quarters

No.Recipient Data ElementsResponseComments
C. Miscellaneous
22.Attach a list of hours (by employee) and expenses incurred to perform your quarterly integrity monitoring review
23.Add any item, issue or comment not covered in previous sections but deemed pertinent to monitoring program.

Name of Integrity Monitor: Name of Report Preparer:

Signature:

Date:

Integrity Monitor Firm Name:____________________________________

Engagement:___________________________________

Quarter Ending: ________________________________

File details come from the government source that posted it. Updated .